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General NPI Number Information
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NPI Number | 1942395694
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Entity Type | Organization
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Legal Business Name | SCOTT E VINCENT M. D. , P. C.
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 02/22/2013
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Provider Practice Location Address
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Address Line | 601 CENTER AVE
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-2041
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Country | US
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Telephone | 970-242-3641
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Fax | 970-256-0945
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Provider Business Mailing Address
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Address Line | 601 CENTER AVE
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-2041
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Country | US
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Telephone | 970-242-3641
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Fax | 970-256-0945
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT E VINCENT
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Credential | M.D.
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Telephone | 970-242-3641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 33850
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License Number State | CO
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